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VOLUME 13 , ISSUE 2 ( June, 2009 ) > List of Articles


Plasmodium vivax malaria: An unusual presentation

Prasad Kasliwal, Manimala S. Rao

Keywords : Acute respiratory distress syndrome, Plasmodium vivax, PfHRP-2, NIV

Citation Information : Kasliwal P, Rao MS. Plasmodium vivax malaria: An unusual presentation. Indian J Crit Care Med 2009; 13 (2):103-105.

DOI: 10.4103/0972-5229.56059

License: CC BY-ND 3.0

Published Online: 01-04-2012

Copyright Statement:  Copyright © 2009; The Author(s).


Acute renal failure, disseminated intravascular coagulation (DIC), acute respiratory distress syndrome (ARDS), hypoglycemia, coma, or epileptic seizures are manifestations of severe Plasmodium falciparum malaria. On the other hand, Plasmodium vivax malaria seldom results in pulmonary damage, and pulmonary complications are exceedingly rare. We report the case of a 42-year-old male living in a malaria-endemic area who presented with ARDS and was diagnosed as having Plasmodium vivax malaria. A diagnosis of Plasmodium vivax malaria was established by a positive Plasmodium LDH immunochromatographic assay while a negative PfHRP2 based assay ruled out P. falciparum malaria. After specific anti-plasmodial therapy and intensive supportive care, the patient recovered and was discharged from hospital. The use of NIPPV in vivax-malaria related ARDS was associated with a good outcome.

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  4. Pulmonary manifestations of uncomplicated falciparum and vivax malaria: cough, small airways obstruction, impaired gas transfer, and increased pulmonary phagocytic activity. J Infect Dis 2002;185:1326-34.
  5. The adhesion receptors of P. vivax-infected red cells (abstract P27). Exp Parasitol 2003;105:33-4.
  6. The effects of Plasmodium falciparum and P. vivax infections on placental histopathology in an area of low malaria transmission. Am J Trop Med Hyg 2004;70:398-407.
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